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General NPI Number Information
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NPI Number | 1801052519
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Entity Type | Organization
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Legal Business Name | RECONSTRUCTIVE SURGERY ASSOCIATES, PLLC
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Dates
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Enumeration Date | 08/01/2008
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Last Update Date | 06/10/2010
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Provider Practice Location Address
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Address Line | 1140 WESTMONT DR SUITE 330
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City | HOUSTON
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State | TX
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Zip | 77015-4363
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Country | US
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Telephone | 281-207-0650
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Fax |
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Provider Business Mailing Address
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Address Line | 1140 WESTMONT DR SUITE 330
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City | HOUSTON
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State | TX
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Zip | 77015-4363
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Country | US
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Telephone | 281-207-0650
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. REGINALD C BUFORD
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Credential | M.D.
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Telephone | 281-207-0650
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2086S0122X
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Taxonomy Name | Plastic and Reconstructive Surgery Physician
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License Number | H8593
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License Number State | TX
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